66 More Pediatrics

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(29:26) What I Did this week:

Medical Emergencies
Tests and scenarios

Special Populations
Dextrose IO?
How do you recognize child abuse?
Most common household substance for pediatric poisoning?
Meningitis exposure. If you treat a patient you get treated?
Cushing’s triad metaphor
Bandaging the neck by running it under the arm

Clinicals
None but a volunteer shift and my busiest shift ever
Baby turns blue then goes back to pink, then codes

Tetralogy of fellot
Blue baby syndrome – Jules Scadden at the Texas EMS Conference in November.

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  • Susan

    The false child abuse case you guys were talking about involved the McMartin Preschool in Manhattan Beach, CA in 1983.  More info at http://www.religioustolerance.org/ra_mcmar.htm

  • In reference to the neck bandage technique:

    I’m in EMT-B currently, and we just went over bandaging, and we actually learned how to bandage the neck via the gauze wrapped under the arm pits and around the head. It’s an awesome technique!

  • Christine

    On the GI symptoms relating to anaphalaxis, I had heard that people with a new food allergy will often go through a progression of allergy symptoms to a certain stimulus before reaching full-blown anaphalaxis, often starting with GI symptoms.  My understanding was that they would consume the food and have nausea, vomiting and/or diarrhea but not necessarily an airway issue, so it might be written off as “bad food” or stomach bug or something similar.  Next time they ate that food, maybe they had worse GI symptoms but still did not connect the issue.  Eventually it progresses up to true anaphalaxis with airway issues.  Have y’all heard anything similar?   

    Concerning Dextrose via IO, would it be better to just pop them with Glucagon IM?  We do that with adult diabetics regularly if no IV access is possible.  Would it work with pedis as well?

    Could y’all talk about ALTE’s?  It relates to the blue baby that resolves prior to EMS arrival.  After having one of these, I did research on it and it apparently can be a precursor to SIDS.  Our protocol mandates that we always, always, always transport these kids due to that risk.  Is this related to the cardiac conditions Kelly discussed, or is it different?

    Thanks y’all!

    Oh, and yes… we learned about the neck bandaging technique in EMT-B.  Believe it or not, I have a copy of the American Red Cross’ First Aid book from 1965 that contains instructions and detailed illustrations of that technique.  They were VERY detailed about bandaging back then!